FOI 2025/1453

I am writing to request information under the Freedom of Information Act regarding the commissioning of Continuing Healthcare (CHC) and complex care services within your organisation.

1. CHC Commissioning Frameworks

Please provide details of the current CHC commissioning framework(s) in place, including:

1. Framework title(s) and reference numbers (if applicable)
2. Duration and expiry date(s)
3. Scope of services covered

2. Approved or Contracted Providers

Please provide a list of approved or contracted providers currently delivering CHC-funded complex care services (for both adults and children).

3. Commissioning Structure and Contacts

Please outline the commissioning structure and responsible teams for CHC and complex care.

If possible, include contact details for commissioning, procurement, and contracting functions.

4. Procurement and Spot Purchasing

Are there any open or planned procurement exercises relating to CHC or complex care commissioning within the next 12–24 months?

If yes, please provide anticipated timelines and service areas.

Alternatively, can providers operate with the ICB via a spot agreement?

5. Commissioning Priorities and Models of Care

Please outline any preferred models of care or strategic commissioning priorities currently being pursued for:

1. Complex care at home
2. Step-down or transitional rehabilitation
3. Specialist community placements

6. Policy and Strategy Documents

Please provide any policy, strategy, or market position documents outlining your approach to CHC commissioning, provider engagement, and market development.

7. Fee Information

Please confirm current average charge rates or fee ranges for complex care packages.

8. Demand for Complex Care

Please provide any available information on current demand levels for individuals requiring complex care (e.g., tracheostomy, spinal injury, neurological care, etc.).

Thank you for your time and assistance. Please do not hesitate to contact me if clarification is required to process this request.

1. NHS Greater Manchester (NHS GM) does not have a commissioning framework for Continuing Healthcare (CHC).
2. The attached list is a current list of all active fully signed CHC contracts.
   **An excel sheet was sent to the requester with this response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net **

There are additional provider contracts being drafted but are not yet fully signed and in place. 

3. Each Place Based Lead across our 10 sites hold the procurement and commissioning responsibility. Their details are available on the NHS GM website which can be accessed using the following link NHS GM Board | Greater Manchester Integrated Care Partnership

Telephone: 0161 357 1598

Email: gm.icp@nhs.net

NHS GM consists of the following 10 Greater Manchester Localities: Bolton, Bury, Heywood, Middleton and Rochdale, Manchester, Oldham, Salford, Stockport, Tameside, Trafford, and Wigan (former Clinical Commissioning Groups), who currently all have their own CHC structures in place.

For locality enquiries, Greater Manchester Locality Continuing Health Care Teams contact information is available on the NHS Greater Manchester website via the following link https://gmintegratedcare.org.uk/chc/

NHS GM Procurement Team – nhsgm.procurement@nhs.net

NHS GM Contract Management Team – nhsgm.contracting@nhs.net

4.a. NHS GM does not have any open or planned procurement exercises relating to CHC or complex care commissioning within the next 12 -24 months.

4b. Yes, providers can operate with the ICB via a spot agreement.

5. None currently.
6. NHS GM does not have a policy, strategy, or market position documents outlining the approach to CHC commissioning, provider engagement, and market development.
7. NHS GM does not have average charge rates or fee ranges for complex care packages. This is because fees are determined locally for care homes and home care, there is not a standard rate as commissioning is bespoke to the individual.
8. Information on current demand levels for individuals requiring complex care (e.g., tracheostomy, spinal injury, neurological care, etc.) is currently in development.